Evidence map›Paper›PMID 37863372›Full record

ArticleJournal of pain and symptom management2024

Preparing Preclinical Medical Students for Routine Code Status Discussions: A Mixed-Methods Study.

Katherine A Rowe, Kei Ouchi, Maura Kennedy, Anthony Breu, Dorothy W Tolchin, Andrea Wershof Schwartz

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Code Status Discussions: A Standardized Patient Workshop for Senior Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Katherine A RoweDepartment of Surgery (K.A.R.), Massachusetts General Hospital, Boston, MA, USA. Electronic address: krowe6@mgh.harvard.edu.
Kei OuchiDepartment of Emergency Medicine (K.O.), Brigham and Women's Hospital, Boston, MA, USA.
Maura KennedyDepartment of Emergency Medicine (M.K.), Massachusetts General Hospital, Boston, MA, USA.
Anthony BreuVA Boston Healthcare System and Center for Bioethics (A.B.), Harvard Medical School, Boston, MA, USA.
Dorothy W TolchinDepartment of Physical Medicine and Rehabilitation (D.W.T.), Spaulding Rehabilitation Hospital, Boston, MA, USA.
Andrea Wershof SchwartzNew England Geriatrics Research Education and Clinical Center (A.W.S.), Veterans Affairs Boston Healthcare System, Boston, MA, USA.

Funding

ED GOAL: An Advance Care Planning Intervention for Seriously Ill Older Adults in the Emergency DepartmentK76AG064434 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI OUCHI, KEI · 2020 to 2024
$1.3M
NIA NIH HHS K76 AG064434
6 · The paper itself

Abstract

contextMedical students are expected to gain competency in inquiring about patients' goals of care, per the Association of American Medical Colleges' Entrustable Professional Activities. While students may be part of teams that conduct routine code status discussions (CSDs), formal training in this skill prior to clinical clerkships is lacking.

objectivesWe aimed to address this training gap by designing a curriculum to teach preclinical medical students about routine CSDs.

methodsWe designed and conducted an interactive workshop for preclinical medical students to learn about routine CSDs and practice this skill, using Kern's Six Steps to Curriculum Design. A qualitative and quantitative pre- and postsurvey was administered. A convergent, parallel, mixed methods analysis was performed.

resultsStudents (n = 135) named more options for code status following the workshop (presurvey 1.3 vs. postsurvey 4.3, P < 0.01). There was an increase in the proportion of students reporting that they felt "somewhat comfortable" or "extremely comfortable" conducting a CSD (presurvey 19% vs. postsurvey 64%, P < 0.01), and a decrease in those reporting that they felt "extremely uncomfortable" or "somewhat uncomfortable" (presurvey 53% vs. postsurvey 18%, P < 0.01). Thematic analysis revealed that students were concerned about knowledge gaps, communication tools, personal discomfort, and upsetting patients or family.

conclusionA workshop to train medical students to conduct routine CSDs can be included as part of a preclinical medical education curriculum. Students reported that the workshop increased their confidence in conducting CSDs and demonstrated an increase in corresponding knowledge, preparing them to deliver person-centered care on their clerkships.

Indexed as

Education, Medical, UndergraduateStudents, MedicalCommunicationCurriculumHumansLearningage-friendlyCode statusgeriatricsgoals of carehealthcare proxypalliativeperson-centered careundergraduate medical educationwhat matters

Identifiers

PMID37863372
PMCPMC11267244

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.